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The question in about a 3 year old with macroglossia, microcephaly, and umbilical hernia says. Answer is Beckwith-Wiedemann Syndrome. Why can’t it be hypothyroidism?
I was thinking it can have all the 3 features described in the question and was confused………
It’s the microcephaly that differentiates hypothyroidsm from Beckwith-Wiedemann Syndrome. It’s not a commonly associated finding in hypothyroid kids In fact, a AAP Pediatrics article even states that hypothyroid kids may have MACROcephaly compared to body size: http://pediatrics.aappublications.org/content/59/4/628.abstract
Hope that clarifies.
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